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婴儿肥厚性幽门狭窄的X线诊断(附30例报告)
引用本文:李光荣.婴儿肥厚性幽门狭窄的X线诊断(附30例报告)[J].实用医学影像杂志,2007,8(4):232-233.
作者姓名:李光荣
作者单位:南京医科大学附属南京儿童医院放射科,江苏,南京,210008
摘    要:目的探讨婴儿肥厚性幽门狭窄的X线诊断及X线表现的有关病理基础。方法回顾性分析经手术证实的30例婴儿肥厚性幽门狭窄的X线征象及其临床表现。结果X线检查证实,30例患儿中有胃扩张26例,胃排空延迟30例,胃食管反流22例,“线样征”24例,“双轨征”18例,“鸟嘴征”25例,“肩样征”21例,“蕈伞征”17例。多数患儿有4种以上征象并存。结论幽门管细长和环肌肥大压迫征象是诊断本病的可靠征象。

关 键 词:婴儿  幽门狭窄  肥厚性  X线诊断
文章编号:1009-6817(2007)04-0232-02
修稿时间:2006-09-082006-10-06

Roentgenodiagnosis of infantile hypertrophic pyloric stenosis
Li Guangrong.Roentgenodiagnosis of infantile hypertrophic pyloric stenosis[J].Journal of Practical Medical Imaging,2007,8(4):232-233.
Authors:Li Guangrong
Institution:Department of Radiology, Affiliated Nanjing Pediatric Hospital of Nanjing Medical University, Nanjingshi 210008, China
Abstract:Objective To study the roentgenodiagnosis of infantile hypertrophic pyloric stenosis(IHPS)and to discuss the correlative pathologic basis.Methods X-ray findings and clinical manifestations of 30 patients with sugically proved IHPS were analyzed retrospectively.Results X-ray examinations demonstrated that,there were 26 gastric dilatation,30 gastric emptying delay,22 gastric-esophageal backflow,24 linear sign,18 double linear sign,25 bird-mouth sign,21 shoulder-form sign,and 17 parachute-form sign in 30 cases.Conclusion The thinning and prolonging of the pyloric tubes and the hypertrophy and compression of the pyloric cyclic musculi are reliable signs for diagnosing IHPS.
Keywords:Infant  Pyloric stenosis  hypertrophic  Roentgenodiagnosis
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